She was admitted on 11 night with let abdominal pain extending to the back and high fever. as appendix is on the right, initial provisional diagnosis was calculus of uthera/kidney However investigations revealed that was not the case second impression was uti, she was given antibiotics and pain killers as investigations continued ugi endoscopy test revealed h . pylori positive (+) final diagonosis nerd with erosive gastritis report of xray barium for stomach duodenum and follow up to i/ region revealed appendix is 1 o clock position with multiple filling defect impression appendicular faecolith what does this mean and how urgent is operation